Community Health HESI Practice Exam
2025–2026 | Nursing Public Health
Review.Best To pass Exam2026
While discussing the science of nursing, the nurse identifies the domain of nursing
theory. Which linkages should the nurse provide to describe nursing's paradigm?
A. The person, the environment or situation, and health
B. Stress reduction, self-care, and a systems model
C. Curative care, restorative care, and terminal care
D. Self-actualization, fundamental needs, and belonging - ANSWER-A. The person, the
environment or situation, and health
A terrorist attack has occurred and several people have inhaled Ricin. Which
intervention should the emergency department nurse implement when caring for these
clients?
A. Administer the antibiotic streptomycin, IV STAT
B. Provide all clients with the Ricin antidote
C. Implement strict respiratory isolation immediately
D. Provide supportive nursing care until antitoxin is available - ANSWER-D. Provide
supportive nursing care until antitoxin is available
Which topic should the nurse include in planning a primary prevention class for
adolescents?
A. Risk factors for heart disease
B. Dietary management of obesity
C. Suicide risks and prevention
D. Coping with stressful situations - ANSWER-C. Suicide risks and prevention
The nurse administers a booster dose of DTaP vaccine to an infant. Which level of
prevention is the nurse implementing?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Primary nursing - ANSWER-A. Primary prevention
The nurse is working in a community clinic that serves a population comprised mainly of
migrant families. In planning the use of resources for secondary prevention, which
activity should be the priority?
A. Skin testing for tuberculosis
B. Glucose monitoring for diabetes
C. Blood work for cardiovascular disease
D. Height and weight for altered nutrition - ANSWER-A. Skin testing for tuberculosis
,A nurse organizes a community action group to help resolve health problems in a low
income neighborhood with a large population of recent immigrants from Africa. What
problem should the nurse address first?
A. High rate of unemployment
B. Low immunization rate of children
C. Provision of substandard health care
D. Access to bilingual care providers - ANSWER-B. Low immunization rate of children
The nurse is assessing a Vietnamese child during a home health visit and identifies
round swellings on the child's back. The child's mother says she rubbed the edge of a
coin on her child's oiled skin. The nurse should recognize that this behavior is prompted
by which cultural belief?
A. The child's behavior was not acceptable
B. The purpose is to rid the body of disease
C. This method is commonly used for discipline
D. The temper tantrums are commonly managed using this method - ANSWER-B. The
purpose is to rid the body of disease
Attendance at a community health clinic is rising and clients have long waits for service.
The charge nurse believes that a computer system would be helpful in decreasing the
time needed to conduct intake and exit processing. What is the nest way for the nurse
to introduce the idea of obtaining a computer system for the clinic?
A. Ask the medical director to talk to the Board of Directors about obtaining funds to
implement a computer system
B. Send a signed letter to the editor of the local newspaper describing the benefits to
the community
C. Submit a written proposal to the Board of Directors about hardware and software
improvement needs
D. Meet informally with some Board members to enlist their support for the idea of
implementing a computer system - ANSWER-C. Submit a written proposal to the Board
of Directors about hardware and software improvement needs
Lillian Wald was a significant person in the history of American nursing. Which
contributions can be attributed to her? (Select all that apply)
A. Development of public health nursing practice
B. First nursing service for occupational health
C. Campaigned for laws to require registration for nurses
D. Established committee that was the forerunner of the NLN
E. Instituted a sliding scale fee for service - ANSWER-A. Development of public health
nursing practice
B. First nursing service for occupational health
D. Established committee that was the forerunner of the NLN
E. Instituted a sliding scale fee for service
The home health nurse is planning a visit with a client who has been discharged home
after a hospitalization. Which action should the nurse implement?
,A. Avoid creating barriers by wearing a name tag in the home
B. Schedule home visits that take place during the daylight hours
C. Ensure HIPAA laws are observed by avoiding visits with other home care providers
D. Use a duplicate copy of the client's record to provide concurrent services - ANSWER-
B. Schedule home visits that take place during the daylight hours
A 12-year-old female is seen by the school nurse after recently experiencing increasing
difficulty sitting still and paying attention in class, and increasingly illegible handwriting.
the nurse observes that the cild has protruding eyeballs and a staring expression. What
action should the nurse take next?
A. Refer the child for psychologic evaluation due to attention deficit disorder
B. Call the child's parents to schedule the child for an immediate medical exam
C. Gather additional data by taking a health history and measuring vital signs
D. Collaborate with the teacher to place the child on a behavior modification program -
ANSWER-C. Gather additional data by taking a health history and measuring vital signs
Which topic should the nurse include in planning a secondary prevention project for the
local retirement community?
A. Safety measures in the home
B. Adult immunization program
C. Rehabilitation after surgery
D. Vision and hearing screening - ANSWER-D. Vision and hearing screening
After accepting the position of school nurse in a public elementary school, what strategy
is best for the nurse to use to obtain an overview understanding of the student body?
A. Review all of the health records of the students presently registered for classes
B. talk with the current officers of the parent-teacher association
C. Send home a survey form to parents of third grade students
D. Conduct a windshield survey of the geographic areas served by the school -
ANSWER-D. Conduct a windshield survey of the geographic areas served by the school
A male client is brought to the emergency department as the result of a motorcycle
accident. He was not wearing a helmet at the time of the accident, and states that he
has no intention of ever wearing one. Within the framework of the Transtheoretical
Model (TTM), which response should the nurse provide?
A. "Wearing a helmet or not is certainly an individual decision."
B. "You should seriously consider wearing a helmet."
C. "Riding a motorcycle with a helmet increases your safety."
D. "I really think you don't have the facts about helmet use." - ANSWER-A. "Wearing a
helmet or not is certainly an individual decision."
An occupational health nurse is reviewing a 20-year-old trend in the United States that
has resulted in an increase in certain industrial workforce. Which medical conditions are
specifically identified with this trend?
A. asthma
B. Alcoholism
, C. Lung cancer
D. Lead poisoning
E. West Nile virus infection
F. Hepatitis B virus infection - ANSWER-A. asthma
C. Lung cancer
When asked to help develop interventions to combat obesity among children, the
community health nurse should stress the importance of implementing which activity?
A. Set goals that are focused on developing healthier lifestyles
B. Develop strict diet plans for school-aged children
C. Provide diet classes for the obese children during school hours
D. Require all children to participate in organized team sports - ANSWER-A. Set goals
that are focused on developing healthier lifestyles
A young woman tells the public health nurse that a friend was recently diagnosed with
Hepatitis B and she is concerned about getting the disease. During the assessment
interview, which question is most important for the nurse to ask this woman?
A. "Did you drink after or use any utensils that your friend used?"
B. "Have you noticed any yellowish tinge to the whites of your eyes?"
C. "Have you shared any needles or had sex with your friend?"
D. "How long ago was your friend diagnosed with Hepatitis B?" - ANSWER-C. "Have
you shared any needles or had sex with your friend?"
Which example should the nurse identify as a significant outcome for the Leading
Health Indicators of Healthy People 2020?
A. A community has adopted a no smoking policy
B. A rural community has a public transportation system
C. The high school drop out rate has decreased by 15%
D. A county has decreased their divorce rate by 10% - ANSWER-A. A community has
adopted a no smoking policy
Which intervention should the public health nurse implement when attempting to
address one of the leading health indicators of Healthy People 2020?
A. Lead a weekly water aerobics class for the elderly at a community center
B. Teach a class on cultural awareness to nursing students at the university
C. Design and implement a no smoking campaign at the local high school
D. Write a grant to help provide glucometers to individuals who cannot afford one -
ANSWER-C. Design and implement a no smoking campaign at the local high school
The nurse is preparing to discharge an elderly, recently widowed female client following
a mild stroke. At this time she is able to walk with the aid of a walker. As part of the
discharge planning, what referral is most important for the nurse to make?
A. Pastoral care
B. Meals-on-wheels
C. Grief support group
D. Physical therapy - ANSWER-B. Meals-on-wheels
2025–2026 | Nursing Public Health
Review.Best To pass Exam2026
While discussing the science of nursing, the nurse identifies the domain of nursing
theory. Which linkages should the nurse provide to describe nursing's paradigm?
A. The person, the environment or situation, and health
B. Stress reduction, self-care, and a systems model
C. Curative care, restorative care, and terminal care
D. Self-actualization, fundamental needs, and belonging - ANSWER-A. The person, the
environment or situation, and health
A terrorist attack has occurred and several people have inhaled Ricin. Which
intervention should the emergency department nurse implement when caring for these
clients?
A. Administer the antibiotic streptomycin, IV STAT
B. Provide all clients with the Ricin antidote
C. Implement strict respiratory isolation immediately
D. Provide supportive nursing care until antitoxin is available - ANSWER-D. Provide
supportive nursing care until antitoxin is available
Which topic should the nurse include in planning a primary prevention class for
adolescents?
A. Risk factors for heart disease
B. Dietary management of obesity
C. Suicide risks and prevention
D. Coping with stressful situations - ANSWER-C. Suicide risks and prevention
The nurse administers a booster dose of DTaP vaccine to an infant. Which level of
prevention is the nurse implementing?
A. Primary prevention
B. Tertiary prevention
C. Secondary prevention
D. Primary nursing - ANSWER-A. Primary prevention
The nurse is working in a community clinic that serves a population comprised mainly of
migrant families. In planning the use of resources for secondary prevention, which
activity should be the priority?
A. Skin testing for tuberculosis
B. Glucose monitoring for diabetes
C. Blood work for cardiovascular disease
D. Height and weight for altered nutrition - ANSWER-A. Skin testing for tuberculosis
,A nurse organizes a community action group to help resolve health problems in a low
income neighborhood with a large population of recent immigrants from Africa. What
problem should the nurse address first?
A. High rate of unemployment
B. Low immunization rate of children
C. Provision of substandard health care
D. Access to bilingual care providers - ANSWER-B. Low immunization rate of children
The nurse is assessing a Vietnamese child during a home health visit and identifies
round swellings on the child's back. The child's mother says she rubbed the edge of a
coin on her child's oiled skin. The nurse should recognize that this behavior is prompted
by which cultural belief?
A. The child's behavior was not acceptable
B. The purpose is to rid the body of disease
C. This method is commonly used for discipline
D. The temper tantrums are commonly managed using this method - ANSWER-B. The
purpose is to rid the body of disease
Attendance at a community health clinic is rising and clients have long waits for service.
The charge nurse believes that a computer system would be helpful in decreasing the
time needed to conduct intake and exit processing. What is the nest way for the nurse
to introduce the idea of obtaining a computer system for the clinic?
A. Ask the medical director to talk to the Board of Directors about obtaining funds to
implement a computer system
B. Send a signed letter to the editor of the local newspaper describing the benefits to
the community
C. Submit a written proposal to the Board of Directors about hardware and software
improvement needs
D. Meet informally with some Board members to enlist their support for the idea of
implementing a computer system - ANSWER-C. Submit a written proposal to the Board
of Directors about hardware and software improvement needs
Lillian Wald was a significant person in the history of American nursing. Which
contributions can be attributed to her? (Select all that apply)
A. Development of public health nursing practice
B. First nursing service for occupational health
C. Campaigned for laws to require registration for nurses
D. Established committee that was the forerunner of the NLN
E. Instituted a sliding scale fee for service - ANSWER-A. Development of public health
nursing practice
B. First nursing service for occupational health
D. Established committee that was the forerunner of the NLN
E. Instituted a sliding scale fee for service
The home health nurse is planning a visit with a client who has been discharged home
after a hospitalization. Which action should the nurse implement?
,A. Avoid creating barriers by wearing a name tag in the home
B. Schedule home visits that take place during the daylight hours
C. Ensure HIPAA laws are observed by avoiding visits with other home care providers
D. Use a duplicate copy of the client's record to provide concurrent services - ANSWER-
B. Schedule home visits that take place during the daylight hours
A 12-year-old female is seen by the school nurse after recently experiencing increasing
difficulty sitting still and paying attention in class, and increasingly illegible handwriting.
the nurse observes that the cild has protruding eyeballs and a staring expression. What
action should the nurse take next?
A. Refer the child for psychologic evaluation due to attention deficit disorder
B. Call the child's parents to schedule the child for an immediate medical exam
C. Gather additional data by taking a health history and measuring vital signs
D. Collaborate with the teacher to place the child on a behavior modification program -
ANSWER-C. Gather additional data by taking a health history and measuring vital signs
Which topic should the nurse include in planning a secondary prevention project for the
local retirement community?
A. Safety measures in the home
B. Adult immunization program
C. Rehabilitation after surgery
D. Vision and hearing screening - ANSWER-D. Vision and hearing screening
After accepting the position of school nurse in a public elementary school, what strategy
is best for the nurse to use to obtain an overview understanding of the student body?
A. Review all of the health records of the students presently registered for classes
B. talk with the current officers of the parent-teacher association
C. Send home a survey form to parents of third grade students
D. Conduct a windshield survey of the geographic areas served by the school -
ANSWER-D. Conduct a windshield survey of the geographic areas served by the school
A male client is brought to the emergency department as the result of a motorcycle
accident. He was not wearing a helmet at the time of the accident, and states that he
has no intention of ever wearing one. Within the framework of the Transtheoretical
Model (TTM), which response should the nurse provide?
A. "Wearing a helmet or not is certainly an individual decision."
B. "You should seriously consider wearing a helmet."
C. "Riding a motorcycle with a helmet increases your safety."
D. "I really think you don't have the facts about helmet use." - ANSWER-A. "Wearing a
helmet or not is certainly an individual decision."
An occupational health nurse is reviewing a 20-year-old trend in the United States that
has resulted in an increase in certain industrial workforce. Which medical conditions are
specifically identified with this trend?
A. asthma
B. Alcoholism
, C. Lung cancer
D. Lead poisoning
E. West Nile virus infection
F. Hepatitis B virus infection - ANSWER-A. asthma
C. Lung cancer
When asked to help develop interventions to combat obesity among children, the
community health nurse should stress the importance of implementing which activity?
A. Set goals that are focused on developing healthier lifestyles
B. Develop strict diet plans for school-aged children
C. Provide diet classes for the obese children during school hours
D. Require all children to participate in organized team sports - ANSWER-A. Set goals
that are focused on developing healthier lifestyles
A young woman tells the public health nurse that a friend was recently diagnosed with
Hepatitis B and she is concerned about getting the disease. During the assessment
interview, which question is most important for the nurse to ask this woman?
A. "Did you drink after or use any utensils that your friend used?"
B. "Have you noticed any yellowish tinge to the whites of your eyes?"
C. "Have you shared any needles or had sex with your friend?"
D. "How long ago was your friend diagnosed with Hepatitis B?" - ANSWER-C. "Have
you shared any needles or had sex with your friend?"
Which example should the nurse identify as a significant outcome for the Leading
Health Indicators of Healthy People 2020?
A. A community has adopted a no smoking policy
B. A rural community has a public transportation system
C. The high school drop out rate has decreased by 15%
D. A county has decreased their divorce rate by 10% - ANSWER-A. A community has
adopted a no smoking policy
Which intervention should the public health nurse implement when attempting to
address one of the leading health indicators of Healthy People 2020?
A. Lead a weekly water aerobics class for the elderly at a community center
B. Teach a class on cultural awareness to nursing students at the university
C. Design and implement a no smoking campaign at the local high school
D. Write a grant to help provide glucometers to individuals who cannot afford one -
ANSWER-C. Design and implement a no smoking campaign at the local high school
The nurse is preparing to discharge an elderly, recently widowed female client following
a mild stroke. At this time she is able to walk with the aid of a walker. As part of the
discharge planning, what referral is most important for the nurse to make?
A. Pastoral care
B. Meals-on-wheels
C. Grief support group
D. Physical therapy - ANSWER-B. Meals-on-wheels
